Graf H, Rhein U, Retzke U
Klinik für Frauenheilkunde und Geburtsmedizin, Zentralklinikum gGmbH, Südthüringen, Suhl.
Zentralbl Chir. 1998;123 Suppl 5:105-9.
Within the last 20 years there was an important change in the operative treatment of breast cancer. New considerations on the tumor biology resulted to the conviction, that the operative radicality does not affect the overall survival rate. This was in addition the birth hour of the breast conserving surgery and of the efforts of reconstructive procedures of the female breast. Muscle flap procedures got more and more importance in clinical practice. This paper gives an overview on our concept of breast conserving therapy and primary reconstruction in case of carcinoma of the breast, which is based on oncoplastic aspects. With consideration this model we are enabled to improve the cosmetic results even in cases with larger tumors.
在过去20年里，乳腺癌的手术治疗发生了重大变化。对肿瘤生物学的新认识使人们相信，手术的根治性并不影响总体生存率。此外，这也是保乳手术以及女性乳房重建手术兴起的时刻。肌皮瓣手术在临床实践中变得越来越重要。本文概述了我们基于肿瘤整形学的乳腺癌保乳治疗及一期重建的理念。基于此模式，即使是较大肿瘤的病例，我们也能够改善美容效果。
